Form Cd.4 - State Of Alabama - Application For Certificate Of Withdrawal - 1995
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1S
A
TATE OF
LABAMA
A
PPLICATION FOR
C
W
ERTIFICATE OF
ITHDRAWAL
T
S
S
S
A
,
O THE
ECRETARY OF
TA TE OF THE
TA TE OF
LABAMA
P
A
B
C
A
,
URSUANT TO THE PROVISIONS OF THE
LABAMA
USINESS
ORPORATION
CT
THE UNDERSIGNED CORPORATION HEREBY
C
W
A
,
.
APPLIES FOR A
ERTIFICATE OF
ITHDRAWAL FROM
LABAMA
AND FOR THA T PURPOSE SUBMITS THE FOLLOWING STA TEMENTS
1. The name of the corporation:
2. It is incorporated under the laws of the state of:
3. It is not transacting business in your state.
4. It hereby surrenders its authority to transact business in your state.
5. It revokes the authority of its registered agent in Alabama to accept service of process and
consents that service of process of any action, suit or proceeding based upon any cause of
action arising in Alabama during the time the corporation was authorized to transact business in
Alabama may thereafter be made on the corporation by service on the Secretary of State of
Alabama.
6. The mailing address to which the Secretary of State may forward a copy of any process served
against the corporation and a commitment to notify the Secretary of State of any change in
address:
7. Date: _______________________________
Type or Print Corporate Officer's Name and Title
Signature of Officer
M
$20.00
:
AIL DUPLICATE ORIGINALS OF THIS APPLICATION WITH THE FILING FEE OF
TO
S
S
, C
S
, P
O
B
5616, M
, A
36103-5616
ECRETARY OF
TATE
ORPORATE
ECTION
OST
FFICE
OX
ONTGOMERY
LABAMA
(334)242-5324
CD.4
REV1/95
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